Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 정성애 | * |
dc.contributor.author | 정혜경 | * |
dc.contributor.author | 심기남 | * |
dc.contributor.author | 김성은 | * |
dc.contributor.author | 문창모 | * |
dc.contributor.author | 태정현 | * |
dc.contributor.author | 변주란 | * |
dc.contributor.author | 조현지 | * |
dc.date.accessioned | 2023-01-04T16:31:04Z | - |
dc.date.available | 2023-01-04T16:31:04Z | - |
dc.date.issued | 2022 | * |
dc.identifier.issn | 1226-3303 | * |
dc.identifier.issn | 2005-6648 | * |
dc.identifier.other | OAK-32624 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/262965 | - |
dc.description.abstract | Background/Aims: Acute upper gastrointestinal (UGI) bleeding is a significant emergency situation with a mortality rate of 2% to 10%. Therefore, initial risk stratification is important for proper management. We aimed to evaluate the role of con-trast-enhanced multidetector computed tomography (MDCT) for risk stratification in patients with acute UGI bleeding in the emergency room (ER). Methods: This retrospective study included patients with UGI bleeding in the ER. Glasgow-Blatchford risk score-computed tomography (GBS-CT) was assessed using a combination of GBS and the MDCT scan scoring system.Results: Of the 297 patients with UGI bleeding, 124 (41.8%) underwent abdominal MDCT. Among them, 90.3% were clas-sified as high-risk by GBS, and five patients died (4.0%). Rebleeding occurred in nine patients (7.3%). The high-risk GBS-CT group had significantly higher in-hospital mortality (10.5% in high-risk vs. 1.4% in moderate risk vs. 0% in low-risk, p = 0.049), transfusion amount (p < 0.001), and endoscopic hemostasis (p < 0.001) compared to the moderate-and low-risk groups.Conclusions: Adding MDCT scans to the existing validated prognosis model when predicting the risk of UGI bleeding in patients in the ER plays a significant role in determining in-hospital mortality, transfusions, and the need for endoscopic he-mostasis. | * |
dc.language | English | * |
dc.publisher | KOREAN ASSOC INTERNAL MEDICINE | * |
dc.subject | Gastrointestinal hemorrhage | * |
dc.subject | Upper gastrointestinal tract | * |
dc.subject | Multidetector computed tomography | * |
dc.subject | Risk assess-ment | * |
dc.title | Clinical outcomes of acute upper gastrointestinal bleeding according to the risk indicated by Glasgow-Blatchford risk score-computed tomography score in the emergency room | * |
dc.type | Article | * |
dc.relation.issue | 6 | * |
dc.relation.volume | 37 | * |
dc.relation.index | SCIE | * |
dc.relation.index | KCI | * |
dc.relation.startpage | 1176 | * |
dc.relation.lastpage | 1185 | * |
dc.relation.journaltitle | KOREAN JOURNAL OF INTERNAL MEDICINE | * |
dc.identifier.doi | 10.3904/kjim.2022.099 | * |
dc.identifier.wosid | WOS:000882618900001 | * |
dc.author.google | Lee, Hyun Ae | * |
dc.author.google | Jung, Hye-Kyung | * |
dc.author.google | Kim, Tae Oh | * |
dc.author.google | Byeon, Ju-Ran | * |
dc.author.google | Jeong, Eui-Sun | * |
dc.author.google | Cho, Hyun-Ji | * |
dc.author.google | Tae, Chung Hyun | * |
dc.author.google | Moon, Chang Mo | * |
dc.author.google | Kim, Seong-Eun | * |
dc.author.google | Shim, Ki-Nam | * |
dc.author.google | Jung, Sung-Ae | * |
dc.contributor.scopusid | 정성애(7403676915) | * |
dc.contributor.scopusid | 정혜경(7403029723) | * |
dc.contributor.scopusid | 심기남(13604838300) | * |
dc.contributor.scopusid | 김성은(35210756100;57204243828) | * |
dc.contributor.scopusid | 문창모(8131765500) | * |
dc.contributor.scopusid | 태정현(35211966400) | * |
dc.contributor.scopusid | 변주란(57225088184;58576719500) | * |
dc.contributor.scopusid | 조현지(57613468400) | * |
dc.date.modifydate | 20240422125929 | * |